One- or two-stage bilateral total hip replacement

被引:107
|
作者
Alfaro-Adrián, J [1 ]
Bayona, F [1 ]
Rech, JA [1 ]
Murray, DW [1 ]
机构
[1] Nuffield Orthopaed Ctr, Oxford OX3 7LD, England
来源
JOURNAL OF ARTHROPLASTY | 1999年 / 14卷 / 04期
关键词
total hip replacement; bilateral total hip replacement;
D O I
10.1016/S0883-5403(99)90099-2
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
is not clear whether bilateral hip replacement should be done in 1 or 2 stages. The total number of total hip replacements (THRs) done in our center between 1989 and 1995 was approximately 4,000. The number of hips that were bilateral was 404, or 9% of the total number of:THRs performed during this time period. Of these bilateral hip replacements, 190 (95 patients) were done as a 1-stage procedure, whereas 214 (107 patients) were done in 2 stages with 2 to 24 months in between the operations. In contrast to previous studies, there were no significant preoperative differences between the 2 groups of patients having I-stage or 2-stage THRs, and, in particular, the comorbidity assessed by the American Society of Anesthiologists (ASA) grade was not significantly different. Our results demonstrate that, in our patient population, bilateral THR was equally safe whether performed as a 1-stage or 2-stage procedure. This was the case in the low-risk (ASA 1 and 2) and high-risk (ASA 3 and 4) patient subgroups. One-stage bilateral THR is cheaper and involves less time in the hospital.
引用
收藏
页码:439 / 445
页数:7
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